Individual
MARY DIDDE-ESTEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 E PALOMINO DR, TEMPE, AZ 85284-2549
(480) 233-9557
Mailing address
1851 E PALOMINO DR, TEMPE, AZ 85284-2549
(480) 233-9557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4885
AZ
225XG0600X
Gerontology Occupational Therapist
4885
AZ
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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